The document outlines the Step By Step EINC Protocol for antenatal care, delivery, and the postpartum period. It includes recommendations such as 4 antenatal visits, iron/folate supplementation, a birth plan, monitoring labor with a partograph, immediate skin-to-skin contact and breastfeeding after delivery, and keeping the mother and baby together for the first 6 hours. The goal of the EINC protocol is to enable improved neonatal and maternal care through simple and cost-effective interventions during childbirth.
The document outlines the Step By Step EINC Protocol for antenatal care, delivery, and the postpartum period. It includes recommendations such as 4 antenatal visits, iron/folate supplementation, a birth plan, monitoring labor with a partograph, immediate skin-to-skin contact and breastfeeding after delivery, and keeping the mother and baby together for the first 6 hours. The goal of the EINC protocol is to enable improved neonatal and maternal care through simple and cost-effective interventions during childbirth.
The document outlines the Step By Step EINC Protocol for antenatal care, delivery, and the postpartum period. It includes recommendations such as 4 antenatal visits, iron/folate supplementation, a birth plan, monitoring labor with a partograph, immediate skin-to-skin contact and breastfeeding after delivery, and keeping the mother and baby together for the first 6 hours. The goal of the EINC protocol is to enable improved neonatal and maternal care through simple and cost-effective interventions during childbirth.
The document outlines the Step By Step EINC Protocol for antenatal care, delivery, and the postpartum period. It includes recommendations such as 4 antenatal visits, iron/folate supplementation, a birth plan, monitoring labor with a partograph, immediate skin-to-skin contact and breastfeeding after delivery, and keeping the mother and baby together for the first 6 hours. The goal of the EINC protocol is to enable improved neonatal and maternal care through simple and cost-effective interventions during childbirth.
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Step By Step EINC Protocol
Antenatal
1. Atleast 4 Antenatal Visits
1st visit within 3 months 2nd visit at 6 months 3rd visit at 8 months 4rt visit at 9 months 2. Iron and folate Supplementation (180 tablets) Introduction:
ESSENTIAL ITRAPARTUM NEWBORN CARE
(EINC) is described as a “simple cost-effective newborn care intervention” intended to enable improved neonatal and maternal care. By changing childbirth practices, maternal and newborn deaths can be reduced significantly. 3. Tetanus Toxoid Vaccine Prepare Birth Plan Upon Arrival at Facility
Identify mothers in PRETERM LABOR or
mothers who might give birth to a preterm newborn at point of entry History, Physical Exam and Vital Signs Obtain Birth Plan, Determine Companion Choice During Labor
Allow position of choice
Allow mother to have oral fluids and light snacks Use Partograph to monitor labor IV fluid and NPO only when indicated PRIOR TO DELIVERY
Check Room temperature-25-28C
Arrange all instruments in a linear fashion Check Resuscitation equipment Perineal Bulging
Perform proper handwahing
Put 2 set of sterile gloves No routine episiotomy and Fundal Pressure From Delivery to the time 6 hours Postpartum Period
Step By Step EINC Protocol
Delivery
MOTHER BABY
Support the perineum with Call out time of birth and
controlled delivery of the sex head Dry, check breathing Assist skin to skin contact First 30 seconds Feel cord pulsation, Clamp, cut cord 1 minute to 3 minutes
Do controlled traction of cord with counter-
traction Give Oxytocin IM after placental expulsion Massage Uterus gently Examine the placenta 15-90 minutes
Support first full breastfeeding
Continue uterine massage Do PE, weigh, measure, eye care, inject, VIT. K, HepB, and BCG Transport to Room Together
After 6 hours Breastfeeding Support Optional Bathing Monitor postpartum period
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